Tiffany Spears pictured with Nicholas’ father James Crowder

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A toddler who died strapped to his car seat starved to death after his mum fatally overdosed on meth, an autopsy has revealed.

The tragic tot's three-year-old sister seemingly tried to care for him as discarded morsels of food were found all around him.

As the full chilling details emerged this week it was revealed the woman could have been dead for 'several days' before she was found.

Tiffany Spears, 32, and her 15-month-old son, Nicholas Crowder, were both found dead at their home in Portland, US, in February and the results of their autopsies were released on Monday.

The Tennessean reports that the medical examiner ruled both deaths as an accident and said Spears had been dead for some time after a drugs overdose.

Davidson County Assistant Medical Examiner Emily Dennison revealed that Spears' cause of death was 'acute combined drug toxicity from methamphetamine and fentanyl.'

The boy was just 15 months old

Her young son Nicholas was said to have died due to 'starvation and dehydration.'

They were both deaths that were ruled as accidental.

Tim Bailey, from the local Sheriff's Office said Spears' three-year-old daughter survived after being found inside the home and treated at a local hospital.

Tiffany Spears was found dead at home

Food including eggshells and dried eggs where said to have been found scattered around the car seat.

"It appeared the decedent's sister tried to take care of the decedent for several days," according to the autopsy.

A probation officer first visited the home to find the front door was locked.

The pair were found dead at home
(Image: WKRN)

When she looked inside a window, she saw the 3-year-old child running around with Spears on the ground motionless.

After calling police an arriving deputy found Spears to be lying on the bathroom floor with 'no obvious signs of trauma.'

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According to the autopsy author, the woman had been dead for several days and drug paraphernalia was discovered at the home while the boy was strapped in his car seat in the floor of a bedroom in the home.

Police were reported to have said there were no hints to indicate there was any foul play, WSMV reported.